剖腹产后残留的胎盘血量:一个范围审查
Sara Maler1, Kari Axelsson2, Deborah Utjés3
1Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden; Department of Clinical Sciences Lund, Pediatrics/Neonatology, Lund University, Lund, Sweden; Department of Obstetrics and Gynecology, Karolinska University Hospital, Solna, Stockholm, Sweden; Department of Obstetrics and Gynecology, Södertälje Hospital, Söderälje, Sweden.
概括
在剖腹产中延迟紧带似乎减少了残余的胎盘血量,这表明胎盘输血增加了新生儿. 需要进一步的研究来证实这些发现,并建立最佳的绳索紧协议.
科学领域:
- 产科和妇科 产科和妇科
- 新生儿医学 新生儿医学
- 产周研究 产周研究
背景情况:
- 剖腹产是常见的分娩方法.
- 胎盘输血对于新生儿适应至关重要.
- 剩余的胎盘血量是胎盘输血的间接指标.
研究的目的:
- 在剖腹产切割中对残余胎盘血液体积的文献进行映射.
- 在这种情况下,评估胎盘输血作为间接措施.
主要方法:
- 从1972年到2023年的文献范围审查.
- 在多个数据库 (PubMed,Cochrane,Embase,Web of Science) 进行了搜索.
- 包括关于到期怀孕和剖腹产残留胎盘血量的研究.
主要成果:
- 包括31项涉及8337名新生儿的研究.
- 在大多数研究中,延迟带紧与残余胎盘血量下降有关.
- 在紧急和可选剖腹产之间没有发现显著差异.
结论:
- 拖延带紧可能会提高剖腹产分娩中的胎盘输血.
- 在剖腹产期间对胎盘输血的证据有限.
- 需要进行进一步的研究,以了解胎盘输血生理学,并优化带紧时间.
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